IT CONTAINS PHYSIOTHERAPY ASSESSMENT AND MGMT OF PNEUMONIA. THIS PRESENTATION IS MADE ONLY FOR LEARNING PURPOSE FOR FINAL BPT.

1. PNEUMONIA
PT
ASSESSMEMENT
MANAGEMENT
DR.SAMIR JADAV (PT)

2. DEFINITION
•Pneumonia is defined as an acute
inflammation of lung parenchyma
involving respiratory bronchioles and
alveolar unit which may fill with fluid.

3. ASSESSMENT (MOCK)
DEMOGRAPHIC DETAILS
CHIEF COMPLAINTS
-Patient complaints of dry and painful cough which
is
irritating and hacking initially.
-difficulty in breathing.
-patient also complaints of sputum, fever and chills.

4. HISTORY
H/O PRESENT ILLNESS:
• Patient presents with the history of common
cold or upper respiratory tract infection.
• There may be a history of fever with chills or
rigor.
PAST MEDICAL HISTORY
-No other medical conditions in
past.
DRUG HISTORY

5. FAMILY HISTORY
- No similar illness in family.
SOCIAL HISTORY
-Patient belongs to the middleclass
family.
PERSONAL HISTORY
-(smoke, alcohol)

6. SUBJECTIVE ASSESSMENT
COUGH : Dry, painfull, hacking and irritating
DYSPNOEA : Present
Grade-1(NYHA scale)
SPUTUM : Purulent
HAEMOPTYSIS : Present
WHEEZE : Present
OTHER SYMPTOMS : Chest pain, Fatigue, pyrexia,
etc.

7. OBJECTIVE ASSESSMENT
GENERAL OBSERVATION
- Patient seems to be breathless.
LEVEL OF CONSCIOUSNESS
- GCS scale
BODY BUILT
OBSERVATION OF CHEST
CHEST SHAPE :- Asymmetrical
CHEST MOVEMENT :- Bilateral diminished
BREATHING PATTERN :- According to
gender
TYPE OF BREATHING :- Tachypnea

8. ON EXAMINATION
(VITALS)
TEMPERATURE :- Increased
RESPI. RATE :- Tachypnea
HEART RATE :- Increased/tachycardia
BLOOD PRESSURE :- Decreased/hypotension
ON PALPATION
TRACHEA :
Normal/Central
TENDERNESS : Absent
TVF : Increased
CHEST EXPANSION : Reduced

9. ON PERCUSSION
- Dull note due to lung consolidation.
ON AUSCULTATION
-BREATH SOUNDS : Bronchial
-FOREIGN SOUNDS : Crackles
INVESTIGATIONS

10. CHEST X-RAY :- The area of consolidation
appears
absolutely white which is
diagnostic.
SPUTUM :- Culture shows responsible
microorganism.
BLOOD :- will show Leucocytosis.
Increased WBC count.
DIAGNOSIS : PNEUMONIA
PT MGMT - SEE ‘PULMONARY DISEASE PT
MGMT’
PRESENTATION.